Kuchiza kwa lymphoma kumatenga miyezi kuti ikwaniritse. Pamapeto pa vuto ili, mukufuna kudziwa komwe mukuima. Kodi mukuchiritsidwa? Nchifukwa chiyani ma lymph node amakulabe? Kodi matenda anu alipobe? Kodi ikhoza kubweranso? Madokotala amayesera kufotokoza mkhalidwewo pogwiritsa ntchito mawu monga "kukhululukidwa," "kubwereranso," ndi "kuchiza," koma kodi amatanthauza chiyani?
Ulendo Woyamba Wokutsata
Tsiku limene mumalandira mankhwala anu omaliza si tsiku limene adokotala adzakuyankheni kuti ayankhe.
Izi ndi chifukwa chakuti mankhwala opatsirana khansa amatenga nthawi kuti achite. Kawirikawiri, dokotala wanu adzakuitanani kuti mukafufuze masabata 4 mpaka 8. Izi zimapereka mankhwalawa nthawi kuti amalize ntchito yake pa khansara. Dokotala ndiye amachititsa mayesero ena kuti akuyesereni kuti mukhululukire.
Kumvetsa Kukhululukidwa
Kukhululukidwa kumatanthauza kuti thupi lanu limakhala lochotsedwa kapena kuchepetsedwa. Pamene chotupacho chapita kwathunthu, madokotala amatcha "chikhululukiro chathunthu." Pamene chotupacho chachepa kwambiri koma chidalipobe, chimatchedwa "kukhululukidwa pang'ono." Kwa Hodgkin lymphoma ndi nkhanza zosagwirizana ndi Hodgkin lymphoma (NHL), madokotala nthawi zonse amayesetsa kuchotsa kwathunthu. Kwa NHL yopanda ulemu kapena yochepa - yomwe imakula kapena kupita patsogolo pang'onopang'ono - nthawi zambiri kukhululukidwa pang'ono kumakhala kokwanira.
Chikhululukiro ndi Chithandizo
Ngakhale matenda anu atachotsedwa pakatha mankhwala, sakutha kutchedwanso mankhwala. Mankhwala am'mimba amatha kubwereza, ndipo adokotala amayembekezera zaka zingapo asanakhale ndi chidaliro kuti matenda anu sadzabwerera.
Mwachitsanzo, mu Hodgkin lymphoma, PET / CT ikhoza kuthandizira kupeza matenda omwe atsala pambuyo pa chithandizo. Izi zingakhale zothandiza, mwachitsanzo, pamene pali misala, kapena kutambasula m'chifuwa ndipo sizikuwonekeratu ngati zikuwonetsa matenda a scarring kapena yogwira ntchito.
Pokhapokha atatha kukuuzani kuti mukuchiritsidwa.
Kwa Hodgkin ndi mafupa amphamvu omwe si a Hodgkin, matendawa ali ndi mwayi waukulu kwambiri wobwerera mkati mwazaka zingapo. Wachiwawa NHL amatha kubwerera pambuyo pa zaka zambiri.
Maulendo Otsata Nthawi Zonse
Maulendo obwereza kwa dokotala ndi njira yabwino yosunga matenda anu. Dokotala adzakufunsani pa ulendo uliwonse. Angayambitsenso mayesero ndi mayeso. Kuzindikira koyamba kwa kubwerera kwa matenda anu nthawi zambiri kumabweretsa zotsatira zabwino ndi mankhwala otsatira. Ngati palibe matenda omwe amapezeka, mukhoza kutsimikiziridwa za thanzi lanu.
Matenda Akubwerera
Mankhwala am'mimba amatha kubwerera, kapena kubwerera m'mbuyo, atachotsedwa. Izi zimachitika kokha mwa anthu owerengeka. Mukatero, imatha kuyang'aniridwa bwino ndi mankhwala omwe amatsatira. Kubwereza kumachitika m'madera omwe poyamba anali nawo, kapena zikhoza kuchitika m'malo atsopano a thupi. Muyenera kufotokozera odwala anu oncologist malingaliro atsopano kapena matenda.
Kusamalira Zovuta Zanu
Chithandizo chabwino kwambiri ndichochizindikiro chachikulu. Anthu ambiri amakhalabe ndi matenda. Kulephereka kuyendera chifukwa choopa kubwerezabwereza ndikutanthauzira kwathunthu ndipo kumveka bwino, popeza kuthana ndi mwayi umenewu sikungakhale gawo lovomerezeka.
Koma musachedwe kuwona dokotala wanu. Maulendowa amakupatsani mwayi woti mulankhule ndi dokotala ndikufotokozerani kukayikira kwanu. Ngakhale mutabwereranso, musachite mantha. Pali mankhwala angapo othandiza kuti athetse matenda anu.
Idasinthidwa mwezi wa 2016, TI.
Zotsatira:
Cheson BD, Fisher RI, Barrington SF et al. Malangizo kuti ayambe kufufuza, kuyang'anira ndi kuyankha mafunso a Hodgkin ndi omwe si a Hodgkin lymphoma. J Clin Oncol . 2014; 32 (27) 3059-3068.
Barrington SF, Mikhaeel NG, Kostakoglu L, et al. Udindo wojambula m'maganizo ndi kuyankhulana kwa lymphoma: mgwirizanowu wa msonkhano wapadziko lonse pa gulu lochita masewera olimbitsa thupi la amphmasi. J Clin Oncol. 2014; 32 (27): 3048-358.
Hutchings M. Kodi PET / CT imathandiza motani pakusankha mankhwala kwa odwala Hodgkin lymphoma? Hematology Am Soc Hematol Pulogalamu Yophunzitsa . 2012; 2012: 322-7.
Townsend W, Linch D. Hodgkin's lymphoma kwa akuluakulu. Lancet . 2012; 380 (9844): 836-47.